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medications wearing off and throwing off sleep
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<blockquote data-quote="KCandtheboys" data-source="post: 603775" data-attributes="member: 16697"><p>Hi...I'm new to this group (and so pleased to have found a group so precisely targeted to what I go through with my son AND with such useful information). My son is 9 yrs old and has been taking medications (mainly Ritalin) for ADHD since he was 6 yrs & in Kindergarten. We have changed his dosage many times, added an afternoon boost, then another later afternoon boost and made some other changes over the years. Most recently we had a short stint of him taking only the short acting Ritalin (20 mg) 3x day which was a disaster and got him all out of whack. He is now back on the long acting Ritalin in the morning 40 mg (which is what he's been on for years), but it seems to be wearing off more quickly than ever before (like after about 4 hours). He then takes two boosters in the afternoon of regular Ritalin 20 mg - one at Noon and one at 3:30/4:00 pm. That pretty much gets him through the day, but I find that all the doses seem to wear off more quickly than they used to. At about 7:00 pm, I give him 0.1 mg of Clonidine and 3 mg of Melatonin and he generally falls asleep by 9:00 or 9:30. He used to stay up much later before the Clonidine was on board and I could generally count on that once he was asleep, he would not be waking up until morning. Now that he is falling asleep earlier, it is not unusual for him to wake up at 11:00 or 12:00 asking for a snack or to watch tv. He is so awake and hungry at these times that I usually allow him a snack and a few minutes of tv to help him settle down again. Sometimes I've given him another 1/2 of a melatonin. This night time waking is really disruptive to me and sometimes to my younger child who sleeps from 7:00 pm to 6:30 am like clock work. Occasionally, when my ADHD son wakes up like this he is very combative, hyper, raging and it's nearly impossible to get him calmed down (I realize at this time, he has no Ritalin in his system...and it's not like I can give him a dose). I'm wondering if there are any ideas about what I might do to help him stay asleep better? This is a new thing for us because he has always been a good sleeper (once I could finally get him to go to sleep). I am in Nursing School and use the late night hours to study as they are the only time I have to myself. Any advice would be humbly accepted and graciously appreciated! Thank you.</p></blockquote><p></p>
[QUOTE="KCandtheboys, post: 603775, member: 16697"] Hi...I'm new to this group (and so pleased to have found a group so precisely targeted to what I go through with my son AND with such useful information). My son is 9 yrs old and has been taking medications (mainly Ritalin) for ADHD since he was 6 yrs & in Kindergarten. We have changed his dosage many times, added an afternoon boost, then another later afternoon boost and made some other changes over the years. Most recently we had a short stint of him taking only the short acting Ritalin (20 mg) 3x day which was a disaster and got him all out of whack. He is now back on the long acting Ritalin in the morning 40 mg (which is what he's been on for years), but it seems to be wearing off more quickly than ever before (like after about 4 hours). He then takes two boosters in the afternoon of regular Ritalin 20 mg - one at Noon and one at 3:30/4:00 pm. That pretty much gets him through the day, but I find that all the doses seem to wear off more quickly than they used to. At about 7:00 pm, I give him 0.1 mg of Clonidine and 3 mg of Melatonin and he generally falls asleep by 9:00 or 9:30. He used to stay up much later before the Clonidine was on board and I could generally count on that once he was asleep, he would not be waking up until morning. Now that he is falling asleep earlier, it is not unusual for him to wake up at 11:00 or 12:00 asking for a snack or to watch tv. He is so awake and hungry at these times that I usually allow him a snack and a few minutes of tv to help him settle down again. Sometimes I've given him another 1/2 of a melatonin. This night time waking is really disruptive to me and sometimes to my younger child who sleeps from 7:00 pm to 6:30 am like clock work. Occasionally, when my ADHD son wakes up like this he is very combative, hyper, raging and it's nearly impossible to get him calmed down (I realize at this time, he has no Ritalin in his system...and it's not like I can give him a dose). I'm wondering if there are any ideas about what I might do to help him stay asleep better? This is a new thing for us because he has always been a good sleeper (once I could finally get him to go to sleep). I am in Nursing School and use the late night hours to study as they are the only time I have to myself. Any advice would be humbly accepted and graciously appreciated! Thank you. [/QUOTE]
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